Individual
LUBNA RIZVAN MOMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
542 SYDNEY MICHELLE LN, LAWRENCEVILLE, GA 30046-3352
(404) 451-4651
Mailing address
542 SYDNEY MICHELLE LN, LAWRENCEVILLE, GA 30046-3352
(404) 451-4651
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN246316
GA
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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